| NPI | 1891122354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA HAINES Administrator 330-753-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |